Mannix Isaias Consolacion, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220791 Issued in AZ

Practice address

5475 S Braided Wash Dr
Tucson, AZ 85747-6094

Phone

(520) 576-0348

NPI assigned

Jan 18, 2019

Last updated

Jul 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DMC Dermatology and MohsGroup PAC ID 3274942032, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Benson Hospital Hospital, Benson, AZ, CCN 031301

Merit-based Incentive Payment System (MIPS)

Final score

95.75 of 100Reported as group

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mconsolacion@specialistsindermatology.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DMC Dermatology & Mohs

  dba DMC Dermatology

  • Dermatology Physician
  • Tucson, AZ
  • NPI 1467047274
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1023582376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121804",
            "telephone_number": "520-382-3330",
            "fax_number": "520-618-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 S BRAIDED WASH DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476094",
            "telephone_number": "520-576-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSOLACION",
        "first_name": "MANNIX",
        "middle_name": "ISAIAS",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "220791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mconsolacion@specialistsindermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2732 N Alvernon Way",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857121804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Conrad C Manayan D.O. P.C.
• Hope Conrad, MD
• Allison Patricia Conroy, LMSW
• Dawn M Conroy, LMSW/LCSW
• Noreen B Conroy
• Shanedelle Consolacion
• Martin Constantine
• Douglas A Contaoi, ATC
• Continuum Counseling and Coaching PLLC
• Bryan Contreras, M.D.

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.